Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02421 | Date 10/08/2022 |
| Token No | SM/24-25/36488 06/03/2025 | Serial | 094 |
| Patient Name | Mrs. SRABANI DEY | Contact No | 892677886 |
| Address | 30/13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||